MR. RYAN PAUL BALTHASER PA
NPI 1124569710
Physician Assistant in Gardner, MA

Active since March 15, 2017PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
725 TIMPANY BLVD, GARDNER, MA 01440(978) 632-8100 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryan Paul Balthaser Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN PAUL BALTHASER PA (NPI 1124569710) is an individual physician assistant in Gardner, Massachusetts, licensed in Massachusetts (PA6065) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124569710
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RYAN PAUL BALTHASERCredential: PA
Location Address725 TIMPANY BLVDGardner, MA 01440-3453
Mailing Address725 Timpany BlvdGardner, MA 01440-3453 · (978) 632-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 15, 2017
NPI 1124569710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA6065
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
725 TIMPANY BLVD, Gardner, MA 01440

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan Paul Balthaser Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759667298
PECOS Enrollment IDI20170417001425
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier29 claims1,650 services$4.42 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier34 claims1,920 services$0.81 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier37 claims37 services$25.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
725 TIMPANY BLVD
GARDNER, MA 01440
Physician Assistant
725 TIMPANY BLVD
GARDNER, MA 01440
Physician Assistant
725 TIMPANY BLVD
GARDNER, MA 01440
Physical Therapist
725 TIMPANY BLVD
GARDNER, MA 01440
Family Medicine
725 TIMPANY BLVD, SUITE 106
GARDNER, MA 01440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Balthaser's NPI number?

The NPI number for Ryan Balthaser is 1124569710. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Ryan Balthaser located?

Ryan Balthaser practices at 725 Timpany Blvd, Gardner, MA 01440. The listed phone number is (978) 632-8100.

What is Ryan Balthaser's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Balthaser enrolled in Medicare?

Yes. Ryan Balthaser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Balthaser accept?

Health plans from Anthem Blue Cross and Blue Shield list Ryan Balthaser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Balthaser affiliated with any hospitals?

According to CMS data, Ryan Balthaser is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Balthaser was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.